JMG Therapy and Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JMG THERAPY AND COUNSELING

Practice address

2190 NW 82ND St Ste D
Clive, IA 50325-5509

Phone

(515) 777-1209

Fax

(515) 349-5339

NPI assigned

Jun 5, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Andrea J Gustafson, LISWNPI 1407095011

Title

Owner/Therapist

Phone

(515) 250-2012

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Gustafson

  • Social Worker
  • Des Moines, IA
  • NPI 1407095011
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1124912902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 NW 82ND ST STE D",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503255509",
            "telephone_number": "515-777-1209",
            "fax_number": "515-349-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 NW 82ND ST STE D",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503255509",
            "telephone_number": "515-777-1209",
            "fax_number": "515-349-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMG THERAPY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "515-250-2012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Denhartog OD LLC
• Brandi Jensen
• Samantha Dee Jensen, ARNP
• Korbyn R. Jerabek, PA-C
• Jacob Jipp, M.D.
• Jillian Anne Johns
• Amanda Lee Johnson, LMSW
• Amy R Johnson, PT
• Brooke Lauren Johnson, OTR/L
• Channing Johnson, ARNP, FNP-C

• All providers in Clive, IA
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.